Intraoperative TEE (pre-CPB) in a patient presenting with dyspnea. Known coronary lesion. No prior cardiac surgery. No valvular heart disease.
What is your diagnosis based on these two mid-esophageal views (2Ch and bicaval)? #echofirst
My approach to the case of PLAX view “looking like TOF”. I have divided the approach of the interpretation of the PLAX image into 4 steps to arrive at following DDs 1. TOF, 2. DORV, 3. Pulmonary atresia + VSD, 4. Truncus arteriosus 5, TGA + VSD, 6. Taussig Bing anomaly, 7. DOLV (Why I gave Taussig Bing separately from DORV is not to miss arch anomalies seen often with it& close DD of TGA, surgery is more complex)
Can u explain this?
CTO ostial LAD, 3 DES starting from LM, no reflow starting from the proximal LAD stent
Aspiration done several times but still the same
Injection from the aspiration catheter showed this
Echo didn’t show even 1 mm of pericardial effusion
Patient died on table
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